Ourhrconnect jobs

Reviews medical claims and determines medical necessity and coverage for remote SC/GA/NC/AL RN candidates.

• Remote · South Carolina, United States or South America
• 2+ yrs

Performs medical claim reviews and determines medical necessity for coverage and reimbursement.

• Remote · Alabama only
• 2+ yrs

Responds to inquiries and processes claims and non-medical appeals according to procedures.

• Columbia, United States · On-site
• Entry level

Performs non-medical reviews and processes redetermination letters.

• Nashville, United States · On-site
• 2+ yrs

Leads training projects, develops materials and delivers training to diverse audiences.

• Columbia, United States · Hybrid
• Mid level

Obtains and maintains provider files and data for certification and billing systems.

• Columbia, United States · On-site
• 3+ yrs

Responds to customer inquiries, processes claims and appeals, and adjudicates claims following policies.

• Columbia, United States · On-site
• 2+ yrs

Reconciles accounts and processes journal entries to support financial reporting.

• Columbia, United States · On-site
• Entry level

Educates providers on Medicare coverage, utilization, and documentation; conducts training and evaluations.

• Remote · United States or Georgia
• Senior

Responds to routine inquiries and processes claims or appeals.

• Columbia, United States · On-site
• Mid level